Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.61 / $161.51 / $198.62	Facility		$111.61	$161.51	$198.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $91.28 / $133.29	Professional		$74.09	$91.28	$133.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $218.30 / $253.30	Professional		$193.44	$218.30	$253.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $168.99 / $190.00	Professional		$75.89	$168.99	$190.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $190.60 / $286.57	Facility		$133.29	$190.60	$286.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $158.10 / $254.63	Professional		$128.09	$158.10	$254.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $157.19 / $174.76	Facility		$125.00	$157.19	$174.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.11 / $190.60 / $243.39	Facility		$151.11	$190.60	$243.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $172.86 / $233.89	Professional		$111.76	$172.86	$233.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $132.27 / $209.44	Professional		$132.27	$132.27	$209.44
United Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $163.19 / $227.04	Professional		$104.22	$163.19	$227.04